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Savarese > Chapter 14 Counterstrain > Flashcards

Chapter 14 Counterstrain Flashcards

1
Q

What kind of technique is CS?

A

Passive indirect

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2
Q

What is a tenderpoint?

A

Small tense edematous area of tenderness about the size of a fingertip located near attachments of tendons, ligaments or belly of muscle that do NOT radiate pain

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3
Q

How do you determine a tenderpoint is clinically significant?

A

Compare to same spot on other side

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4
Q

Where should you start tx if there are multiple tenderpoints?

A

Tx the most tender area first

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5
Q

Where do you place the pt?

A

Into position of comfort/ease by shortening the muscle

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6
Q

After fine tuning the tx position with small arcs of motion, how much pain should be reduced?

A

> 70%

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7
Q

What is a maverick point?

A

Tenderpoints that do not improve with fine tuning

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8
Q

How do you tx maverick points?

A

Place the pt in a position opposite of what would be used typically

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9
Q

How long must the position be maintained?

A

90 secs–time takes for proprioceptive firing to decrease

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10
Q

How much tenderness should remain after tx?

A

<30%

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11
Q

Anterior cervical TP location?

A

Anterior to or on most lateral aspect of lateral masses

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12
Q

Tx position for anterior cervical TP?

A

SB and rotate head away form side of TP

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13
Q

Anterior cervical maverick point (anterior 7th cervical) location?

A

2-3cm lateral to medial end of clavical at lateral attachment of SCM

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14
Q

Anterior cervical MP tx position?

A

Flex, SB toward and rotate away from side of TP

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15
Q

Posterior cervical TP location?

A

Tip of SP or on lateral side of SP

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16
Q

Posterior cervical TP tx position?

A

Extend, SB (slightly), and rotate away

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17
Q

Posterior cervical MP/inion (posterior 1st cervical) location?

A

At inion (posterior occipital protuberance) or just below

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18
Q

Posterio cervical MP inion tx position?

A

Marked flexion

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19
Q

Anterior thoracic TPs location?

A 
T1-6 = located midline of sternum at attachment of corresponding ribs
T7-12 = most located in rectus abdominus m about 1 inch lateral to midline on right or left
20
Q

Anterior thoracic TPs tx position?

A

Flex thorax and add small amount of SB and rotation away

21
Q

Posterior thoracic TPs location?

A

Either side of SP or on TP

22
Q

Posterior thoracic TPs tx position?

A

Extend, rotate away and SB slightly away

23
Q

Anterior rib TPs are assoc with what rib position?

A

Depressed ribs (exhalation dysfunction)

24
Q

Posterior rib TPs are assoc with what rib position?

A

Elevated ribs (inhalation dysfunction)

25
Q

How long must rib tx positions be held?

A

120 secs–allows pt extra time to relax

26
Q

Anterior rib 1 TP location?

A

Just below medial end of clavicle

27
Q

Anterior rib 2 TP location?

A

6-8cm lateral to sternum on rib 2

28
Q

Anterior ribs 3-6 TP locations?

A

Along mid-axillary line on corresponding rib

29
Q

Anterior rib tx position for ribs 1 and 2?

A

Flex head, SB and rotate towards

30
Q

Anterior rib tx position for ribs 3-6?

A

SB and rotate thorax toward, encourage slight flexion

31
Q

Posterior rib TP location?

A

Angle of corresponding rib

32
Q

Posterior rib TP tx position?

A

Tx with minimal flexion, SB and rotate away

33
Q

Anterior lumbar TP L1 location?

A

Just medial to ASIS

34
Q

Anterior lumbar TP L2-4 location?

A

On the AIIIS

35
Q

Anterior lumbar TP L5 location?

A

1cm lateral to pubic symphisis on superior ramus

36
Q

Anterior lumbar TP tx position?

A

Most treated with pt supine, knees and hips flexed and markedly rotated away

37
Q

Posterior lumbar TP location?

A

Either side of SP or on TP; L3-4 may be on iliac crest; L5 may be on PSIS

38
Q

Posterior lumbar TP tx position?

A

Most treated with pt prone, extended and SB away (rotation may be towards or away)

39
Q

Posterior lumbar MPs (lower pole 5th lumbar) location?

A

Inferior to PSIS as much as 1 cm

40
Q

Posterior lumbar MP tx position?

A

Pt prone, hip and knee flexed, leg internally rotated and adducted

41
Q

Iliacus TP location?

A

~7cm medial to ASIS

42
Q

Iliacus tx position?

A

Pt supine with hip flexed and externally rotated

43
Q

Piriformis TP location?

A

In the piriformis m 7cm medial to and slightly superior to greater trochanter

44
Q

Piriformis TP tx position?

A

Pt prone, hip and knee flexed, thigh abducted and externally rotated

45
Q

What percentage of TPs are maverick?

A

5%

46
Q

What region is assoc with the greatest number of MPs?

A

Cervical spine

Savarese (31 decks)

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